Provider Demographics
NPI:1497186712
Name:COHEN-MOREIRA, EMILY (CLC)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:COHEN-MOREIRA
Suffix:
Gender:F
Credentials:CLC
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:
Other - Last Name:COHEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CLC
Mailing Address - Street 1:6807 BERGENLINE AVE
Mailing Address - Street 2:APT 3
Mailing Address - City:GUTTENBERG
Mailing Address - State:NJ
Mailing Address - Zip Code:07093-1807
Mailing Address - Country:US
Mailing Address - Phone:917-921-7733
Mailing Address - Fax:
Practice Address - Street 1:6807 BERGENLINE AVE
Practice Address - Street 2:APT 3
Practice Address - City:GUTTENBERG
Practice Address - State:NJ
Practice Address - Zip Code:07093-1807
Practice Address - Country:US
Practice Address - Phone:917-921-7733
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-12
Last Update Date:2013-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN